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ON A CASE OF EXCISION OF THE KNEE-JOINT 



could be made to enable me to conduct my course here exactly in the same 

 manner that, following the example of Mr. Syme, I had found so advantageous 

 in Edinburgh, depended my acceptance or otherwise of the highly honourable 

 offer of a clinical chair in King's College. 



rin publishing this lecture I wish to add two remarks in order to avoid 

 misunderstanding. First, that I do not omit bedside instruction, and always 

 warn my class that no lectures can possibly take the place of their own individual 

 work at the bedside, since it is essential, in order that the student may become 

 a competent practitioner, that he should handle diseases as well as see them, 

 and not only witness their treatment by others, but be personally concerned 

 in their management by holding dresserships, &c., in our hospitals. Secondly, 

 I desire to add that, since I used the expressions in Edinburgh above referred 

 to, I have been informed that clinical surgical teaching in London has undergone 

 considerable changes since I was a student, both as regards giving it a more 

 demonstrative character, and in greater frequency and regularity of meetings 

 of the classes. The London schools are both numerous and independent, and 

 the changes to which I allude have, I understand, taken place in different 

 degrees in different institutions. Hence, I can quite understand that my general 

 remarks, made, as I would repeat again, without any view to publication, may 

 have done individual injustice, for which no one could be more sorry than 

 myself.] 



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